Individual
DR. JIA MING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1918 US-83, LAREDO, TX 78046
(956) 752-9800
Mailing address
100 E 15TH ST STE 420, FORT WORTH, TX 76102-6568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40871
TX
Other
Enumeration date
06/10/2024
Last updated
07/31/2024
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